Congenital Heart Surgery Nomenclature and Database Project: atrial septal defect

Objectives: The Japan Cardiovascular Surgery Database–Congenital section (JCVSD-Congenital) and the European Congenital Heart Surgeons Association (ECHSA) Congenital Heart Surgery Database (CHSD) share the same nomenclature. We aimed at comparing congenital cardiac surgical patterns of practice and outcomes in Japan and Europe using the JCVSD-Congenital and ECHSA-CHSD. Methods and Results: We examined Japanese (120 units, 63,365 operations) and European (96 units, 90,098 operations) data in JCVSD-Congenital and ECHSA-CHSD from 2011 to 2017. Patients’ age and weight, periprocedural times, mortality at hospital discharge, and postoperative length of stay were calculated for ten benchmark operations. There was a significantly higher proportion of ventricular septal defect closures and Glenn operations and a significantly lower proportion of coarctation repairs, tetralogy of Fallot repairs, atrioventricular septal defect repairs, arterial switch operations, truncus repairs, Norwood operations, and Fontan operations in JCVSD-Congenital compared to ECHSA-CHSD. Postoperative length of stay was significantly longer following all benchmark operations in JCVSD-Congenital compared to ECHSA-CHSD. Mean STAT mortality score (Society of Thoracic Surgeons European Association for Cardio-Thoracic Surgery mortality score) was significantly higher in JCVSD-Congenital (0.78) compared to ECHSA-CHSD (0.71). Mortality at hospital discharge was significantly lower in JCVSD-Congenital (4.2%) compared to ECHSA-CHSD (6.0%, P < .001). Conclusions: The distribution of the benchmark procedures and age at the time of surgery differ between Japan and Europe. Postoperative length of stay is longer, and the mean complexity is higher in Japan compared to European data. These comparisons of patterns of practice and outcomes demonstrate opportunities for continuing bidirectional transcontinental collaboration and quality improvement.

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Congenital Heart Surgery: Analysis of 102 Cases

Bangladesh Heart Journal ◽

10.3329/bhj.v30i2.28812 ◽

2016 ◽

Vol 30 (2) ◽

pp. 58-60

Author(s):

AKM Manzurul Alam ◽

Istiaq Ahmed ◽

Manzil Ahmed ◽

Al Mamun Hossain

Keyword(s):

Congenital Heart ◽

Heart Surgery ◽

Septal Defect ◽

Heart Diseases ◽

Ductus Arteriosus ◽

Signs And Symptoms ◽

Congenital Heart Surgery ◽

Corrective Surgery ◽

Life Threatening

Congenital heart diseases (CHDs) are a group of problems in the structure of the heart that is present at birth. Signs and symptoms depend on the specific type of problem. Symptoms can vary from none to life-threatening. CHD is prevalent throughout the world including Bangladesh. It is the leading cause of birth defect-related death. Most of the patients with CHDs need corrective surgery and life-long follow up with heart care. In this series, 102 cases of CHD patients were operated, 82 of them were of atrial septal defect (ASD), 12 ventricular septal defect (VSD), 2 Tetralogy of Fallot (TOF) and 6 patent ductus arteriosus (PDA). Operative and post-operative periods were uneventful. There were no major complications including death.Bangladesh Heart Journal 2015; 30(2) : 58-60

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Peritoneal dialysis during congenital heart surgery admissions: insights from a large database

Cardiology in the Young ◽

10.1017/s1047951120000141 ◽

2020 ◽

Vol 30 (4) ◽

pp. 451-455

Author(s):

Rohit S. Loomba ◽

Enrique G. Villarreal ◽

Ronald A. Bronicki ◽

Saul Flores

Keyword(s):

Peritoneal Dialysis ◽

Length Of Stay ◽

Congenital Heart ◽

Heart Surgery ◽

Septal Defect ◽

Congenital Heart Surgery ◽

Fluid Restriction ◽

Specific Patient ◽

Left Heart Syndrome ◽

Univariate Analyses

AbstractBackground:The management of fluid overload after congenital heart surgery has been limited to diuretics, fluid restriction, and dialysis. This study was conducted to determine the association between peritoneal dialysis and important clinical outcomes in children undergoing congenital heart surgery.Methods:A retrospective review was conducted to identify patients under 18 years of age who underwent congenital heart surgery. The data were obtained over a 16-year period (1997–2012) from the Kids’ Inpatient Database. Data analysed consisted of demographics, diagnoses, type of congenital heart surgery, length of stay, cost of hospitalisation, and mortality. Logistic regression was performed to determine factors associated with peritoneal dialysis.Results:A total of 46,176 admissions after congenital heart surgery were included in the study. Of those, 181 (0.4%) utilised peritoneal dialysis. The mean age of the peritoneal dialysis group was 7.6 months compared to 39.6 months in those without peritoneal dialysis. The most common CHDs were atrial septal defect (37%), ventricular septal defect (32.6%), and hypoplastic left heart syndrome (18.8%). Univariate analyses demonstrated significantly greater length of stay, cost of admission, and mortality in those with peritoneal dialysis. Regression analyses demonstrated that peritoneal dialysis was independently associated with significant decrease in cost of admission (−$57,500) and significant increase in mortality (odds ratio 1.5).Conclusions:Peritoneal dialysis appears to be used in specific patient subsets and is independently associated with decreased cost of stay, although it is associated with increased mortality. Further studies are needed to describe risks and benefit of peritoneal dialysis in this population.

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Unusual Ventriculo-Arterial Alignments and Connections

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135120905636 ◽

2020 ◽

Vol 11 (3) ◽

pp. 355-357

Author(s):

Stephen P. Sanders ◽

Shuhei Toba

Keyword(s):

Management Strategy ◽

Rare Case ◽

Congenital Heart ◽

Heart Surgery ◽

Septal Defect ◽

World Journal ◽

Congenital Heart Surgery ◽

Subaortic Stenosis ◽

Biventricular Repair ◽

Anatomically Corrected Malposition

In this issue of World Journal for Pediatric and Congenital Heart Surgery, Kari and colleagues present a case of anatomically corrected malposition {S, L, L} with ventricular septal defect and complex subaortic stenosis managed by staged biventricular repair. This rare case with interesting management strategy provides an opportunity to clarify this and related unusual ventriculo-arterial alignments.

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First Harvest of Pediatric and Congenital Heart Surgery Multicenter Database in Turkey: Novel Application of Real-Time Online Reporting

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135121995474 ◽

2021 ◽

Vol 12 (3) ◽

pp. 377-386

Author(s):

Ersin Erek ◽

Yusuf Kenan Yalçınbaş ◽

Nejat Sarıosmanoğlu ◽

Murat Özkan ◽

Okan Yıldız ◽

...

Keyword(s):

Real Time ◽

Congenital Heart ◽

Heart Surgery ◽

Septal Defect ◽

Arterial Switch Operation ◽

Mortality Rates ◽

Congenital Heart Surgery ◽

Switch Operation ◽

Cavopulmonary Anastomosis ◽

Overall Mortality

Objectives: A new congenital heart surgery database (CKCV) with real-time online reporting function was recently developed in Turkey. All standard international parameters were used, but Aristotle Comprehensive Complexity score was modified. In this study, the first analysis of the CKCV Database is reported. Methods: The CKCV Database included 2307 procedures from 12 centers between January 2018 and March 2020. All parameters, including 10 real-time online reports, which represent the number of centers, number and mortality rates of all procedures, number of extracorporeal membrane oxygenation (ECMO) and results, details of postoperative complications, age-group statistics, analysis for priority status, mean intensive care and hospital stay durations of the procedures, results of Aristotle Basic, Modified Aristotle Comprehensive (MACC) and Society of Thoracic Surgeons-European Association (STAT) Score Categories, comparison of centers were analyzed. Results: Most common 10 procedures were ventricular septal defect (VSD) repair (n = 273), tetralogy of Fallot (TOF) repair (n = 243), atrial septal defect (ASD) repair (n = 181), complete AVSD repair (n = 95), cavopulmonary anastomosis (n = 81), systemic to pulmonary shunt (n = 79), modified Fontan (n = 71), subaortic resection, (n = 66) PA banding (n = 66), and arterial switch operation (n = 66). Cardiopulmonary bypass was used in 84.6% of the procedures. Overall mortality rate was 6.0%. A total of 618 major and 570 minor complications were observed in 333 and 412 patients, respectively. According to six MACC categories, number of the patients and mortality rates were I (293; 0.3%); II (713; 1.4%); III (601; 3.3%); IV (607; 12%); V (84; 35.7%); and VI (9; 55.6%), respectively. Analysis of five STAT Categories showed 0.7, 3.8, 5.4, 14.9, and 54.7% mortality rates. Conclusions: CKCV Database has a great potential for nationwide quality improvement studies. Users could instantly analyze and compare their results to national and international aggregate data using a real-time online reporting function. This is the first multicenter congenital database study in Turkey.

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Contemporary outcomes of complete atrioventricular septal defect repair: Analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2014.05.095 ◽

2014 ◽

Vol 148 (6) ◽

pp. 2526-2531 ◽

Cited By ~ 46

Author(s):

James D. St. Louis ◽

Upinder Jodhka ◽

Jeffrey P. Jacobs ◽

Xia He ◽

Kevin D. Hill ◽

...

Keyword(s):

Congenital Heart ◽

Heart Surgery ◽

Septal Defect ◽

Congenital Heart Surgery ◽

Atrioventricular Septal Defect ◽

Complete Atrioventricular Septal Defect ◽

Defect Repair ◽

Complete Atrioventricular

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COVID-19 and ECMO support after neonatal congenital heart surgery: a case report

Cardiology in the Young ◽

10.1017/s1047951121002511 ◽

2021 ◽

pp. 1-10

Author(s):

Murat Cicek ◽

Mehmet Akif Onalan ◽

Nurgul Yurtseven

Keyword(s):

Congenital Heart ◽

Heart Surgery ◽

Septal Defect ◽

Systemic Disease ◽

Congenital Heart Surgery ◽

Early Postoperative Period ◽

Ecmo Support ◽

High Risk Population ◽

Ventricular Septal Defect Closure ◽

Aortic Arch Repair

Abstract Coronavirus disease 2019 (COVID-19) causes respiratory and systemic disease and has led to a sudden epidemic affecting people of all ages. Patients with congenital heart disease represent a high-risk population. In this article, we present a newborn who required extracorporeal membrane oxygenation (ECMO) support for acute respiratory failure in the early postoperative period due to exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) after aortic arch repair and ventricular septal defect closure. To the best of our knowledge, this patient represents the first neonatal case of SARS-CoV-2 infection after congenital heart surgery and is the youngest patient to need ECMO support.

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